Dental
Group Health Plan INC
Group Health Plan INC was paid $5.57M by Medicaid between Jan 2021 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN INC
SAINT PAUL, MN 55107
SAINT PAUL, MN 55107
33aNPI1316538101assigned 02/03/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$5.57M
24GClaims59,901
24DCodes billed25
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#16 of 368
Median peer was paid$19K
This provider vs. median292×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BJORKMAN, LISA controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 22,509 | $2.35M | |
| 2022 | 16,632 | $1.60M | |
| 2023 | 11,322 | $867K | |
| 2024incomplete | 9,438 | $754K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 5,032 | 1,145 | $1.49M |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 7,883 | 7,844 | $564K |
| D1206 | Topical application of fluoride varnish | 9.5% | 9,687 | 9,609 | $528K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 7,150 | 7,119 | $464K |
| D1351 | Sealant - per tooth | 6.9% | 6,073 | 1,679 | $384K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 2,078 | 1,027 | $361K |
| D0272 | Bitewings - two radiographic images | 5.5% | 5,521 | 5,491 | $307K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 1,834 | 1,003 | $302K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 2,037 | 1,043 | $259K |
| D0160 | 2.2% | 1,215 | 1,212 | $120K | |
| D0330 | Panoramic radiographic image | 2.1% | 766 | 765 | $117K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.9% | 644 | 364 | $104K |
13 more codes
| D2330 | 1.6% | 618 | $88K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 2,296 | $83K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,943 | $72K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 681 | $65K |
| D9420 | 1.1% | 1,008 | $64K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,548 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 500 | $46K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 304 | $31K |
| D2331 | <1% | 125 | $24K | |
| D1354 | <1% | 836 | $19K | |
| D2934 | <1% | 33 | $15K | |
| D2332 | <1% | 31 | $7K | |
| D2940 | <1% | 58 | $5K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBJORKMAN, LISA (DIRECTOR PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Group Health Plan, INC. | Minneapolis, MN | $204.32M |
| Group Health Plan INC. | Minneapolis, MN | $14.79M |
| Group Health Plan INC | Andover, MN | $12.93M |
| Group Health Plan INC. | Eden Prairie, MN | $11.52M |
| Group Health Plan, INC | Stillwater, MN | $3.65M |
| Group Health Plan INC | Saint Paul, MN | $3.61M |
| Group Health Plan INC | Saint Paul, MN | $1.16M |
| Physicians Neck & Back Clinics | Roseville, MN | $859K |
| Group Health Plan INC | Minneapolis, MN | $828K |
| Group Health Plan, INC. | Saint Paul, MN | $779K |
| Group Health Plan INC | Bloomington, MN | $594K |
| Lakeview Memorial Hospital Association INC | Stillwater, MN | $159K |
| Group Health Plan, INC. | Anoka, MN | $84K |
| Group Health Plan INC | Somerset, WI | $80K |
| Group Health Plan INC | Hudson, WI | $53K |
| Group Health Plan, INC | Stillwater, MN | $50K |
| Group Health Plan, INC | Maplewood, MN | $17K |
| Group Health Plan INC | Saint Paul, MN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.